<layout name='Layout/ace_layout' />
{:W('PageHeader',array('name'=>'新建VIP','search'=>'N'))}
<form method='post' id="form_data" class="well form-horizontal">
	<input type="hidden" name="opmode" value="add">
	<input type="hidden" name="ajax" id="ajax" value="0">
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="vip_type">VIP类别*：</label>
		<div class="col-sm-8">
			<select id="vip_type" name="vip_type">
				<option value="金卡"> 金卡</option>
				<option value="白金卡">白金卡</option>
				<option value="黑金卡">黑金卡</option>				
			</select>
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="vip_no">VIP卡号：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="vip_no" name="vip_no" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="wechat_vip_no">微信VIP卡号：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="wechat_vip_no" name="wechat_vip_no" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="area">地区：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" name="area" id="area">
		</div>
	</div>

	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="active_shop">开卡店铺：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="active_shop" name="active_shop" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="active_date">开卡日期：</label>
		<div class="col-sm-8">
			<input class="form-control input-date" type="text" id="active_date" name="active_date" data-date-format="yyyy-mm-dd">
		</div>
	</div>
	<div class="clearfix"></div>
	<hr>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="name">姓名*：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="name" name="name" check="require" msg="请输入姓名" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="english_name">英文名：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="english_name" name="english_name">
		</div>
	</div>

	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="birthday">出生日期：</label>
		<div class="col-sm-8">
			<input class="form-control input-date" type="text" id="birthday" name="birthday"  data-date-format="yyyy-mm-dd" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="sex">性别：</label>
		<div class="col-sm-8">
			<select name="sex" id="sex">
				<option value="male">男</option>
				<option value="female">女</option>
			</select>
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="paper_type">证件类型：</label>
		<div class="col-sm-8">
			<select name="paper_type" id="paper_type">
				<option value="身份证">身份证</option>
				<option value="护照">护照</option>
				<option value="军官证">军官证</option>
			</select>
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="paper_no">证件号：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="paper_no" name="paper_no" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="office_tel">固定电话：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="office_tel" name="office_tel" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="mobile_tel">手机号*：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="mobile_tel" name="mobile_tel" check="require" msg="请输入手机号">
		</div>
	</div>

	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="address">邮寄地址：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="address" name="address" >
		</div>
	</div>
	<div class="form-group col-sm-6">
		<label class="col-sm-4 control-label" for="wechat_no">微信号：</label>
		<div class="col-sm-8">
			<input class="form-control" type="text" id="wechat_no" name="wechat_no" >
		</div>
	</div>
	<div class="clearfix"></div>
	<hr>
	<div class="form-group">
		<label class="col-sm-2 control-label"  >喜好信息：</label>
		<div class="col-sm-9" >
			<p class="form-control-static"></p>
		</div>
	</div>
	<div class="form-group">
		<label class="col-sm-2 control-label" >穿衣风格</label>
		<div class="col-sm-9" >
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="时尚">
					<span class="lbl"> 时尚</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="休闲">
					<span class="lbl"> 休闲</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="商务"> 
					<span class="lbl"> 商务</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="优雅">
					<span class="lbl"> 优雅</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="甜美">
					<span class="lbl"> 甜美</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="简约">
					<span class="lbl"> 简约</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="职业">
					<span class="lbl"> 职业</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="性感">
					<span class="lbl"> 性感</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="华丽">
					<span class="lbl"> 华丽</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="高贵">
					<span class="lbl"> 高贵</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="dressing_style[]" class="ace dressing_style" type="checkbox" value="前卫">
					<span class="lbl"> 前卫</span>
				</label>
			</div>
		</div>
	</div>
	<div class="form-group">
		<label class="col-sm-2 control-label" >上衣尺寸</label>
		<div class="col-sm-9" >
			<div class="checkbox col-sm-2">
				<label>
					<input name="top_size[]" class="ace top_size" type="checkbox" value="XXL">
					<span class="lbl"> XXL</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="top_size[]" class="ace top_size" type="checkbox"  value="XL">
					<span class="lbl"> XL</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="top_size[]" class="ace top_size" type="checkbox"  value="L">
					<span class="lbl"> L</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="top_size[]" class="ace top_size" type="checkbox"  value="M">
					<span class="lbl"> M</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="top_size[]" class="ace top_size" type="checkbox" value="XS">
					<span class="lbl"> XS</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="top_size[]" class="ace top_size" type="checkbox"  value="S">
					<span class="lbl"> S</span>
				</label>
			</div>
		</div>
	</div>

	<div class="form-group">
		<label class="col-sm-2 control-label" >下衣尺寸</label>
		<div class="col-sm-9" >
			<div class="checkbox col-sm-2">
				<label>
					<input name="bottom_size[]" class="ace bottom_size" type="checkbox" value="XXL">
					<span class="lbl"> XXL</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="bottom_size[]" class="ace bottom_size" type="checkbox"  value="XL">
					<span class="lbl"> XL</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="bottom_size[]" class="ace bottom_size" type="checkbox"  value="L">
					<span class="lbl"> L</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="bottom_size[]" class="ace bottom_size" type="checkbox"  value="M">
					<span class="lbl"> M</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="bottom_size[]" class="ace bottom_size" type="checkbox" value="XS">
					<span class="lbl"> XS</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="bottom_size[]" class="ace bottom_size" type="checkbox"  value="S">
					<span class="lbl"> S</span>
				</label>
			</div>
		</div>
	</div>

	<div class="form-group">
		<label class="col-sm-2 control-label">喜好颜色</label>
		<div class="col-sm-9" >
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="红色系">
					<span class="lbl"> 红色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="蓝色系">
					<span class="lbl"> 蓝色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="橙色系">
					<span class="lbl"> 橙色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="绿色系">
					<span class="lbl"> 绿色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="黄色系">
					<span class="lbl"> 黄色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="黑白色系">
					<span class="lbl"> 黑白色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value=" 灰卡其系">
					<span class="lbl"> 灰卡其系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox"  value="豹纹系">
					<span class="lbl"> 豹纹系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox"  value="桔色系">
					<span class="lbl"> 桔色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox"  value="咖啡色系">
					<span class="lbl"> 咖啡色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox"  value="酒红色系">
					<span class="lbl"> 酒红色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="粉色系">
					<span class="lbl"> 粉色系</span>
				</label>
			</div>
			<div class="checkbox col-sm-2">
				<label>
					<input name="like_color[]" class="ace like_color" type="checkbox" value="米色系">
					<span class="lbl"> 米色系</span>
				</label>
			</div>
		</div>
	</div>

	<div class="form-group col-sm-12">
		<label class="col-sm-2 control-label" for="like_shop">常逛商场</label>
		<div class="col-sm-4">
			<input class="form-control" type="text" id="like_shop" name="like_shop" >
		</div>
	</div>
	<div class="form-group col-sm-12">
		<label class="col-sm-2 control-label" for="like_brand">喜欢品牌</label>
		<div class="col-sm-4">
			<input class="form-control" type="text" id="like_brand" name="like_brand" >
		</div>
	</div>
<div class="clearfix"></div>
<hr >
	<div class="form-group">
		<label class="col-sm-2 control-label" for="remark" >顾客说明：</label>
		<div class="col-sm-9" >
			<textarea class="form-control" name="remark" rows="5" class="col-xs-12" ></textarea>
		</div>
	</div>
	<div class="action">
		<input class="btn btn-sm btn-primary" type="button" value="保存" onclick="save();">
		<input  class="btn btn-sm btn-default" type="button" value="取消" onclick="go_return_url();">
	</div>
</form>